1030-135 Impact of wide pulse pressure with and without high systolic blood pressure on clinical outcomes in chronic severe aortic regurgitation

Abstract

excluded. Results: We identified 114 patients (Mean age 59+/-15yrs; 79% male), 39 (34.2%) had isolated aortic cusp prolapse and 73 (64%) had restricted cusp motion as the primary mechanism of AR. Valve repair was performed in 26 (22.8%).Two of these patients had failed repairs requiring valve replacement. Repair was more likely in younger patients, those with leaflet prolapse, tless leaflet edge thickening and less commissural calcification. By multivariate analysis, eccentric AR jet direction and less leaflet edge thickening (</= 3mm), emerged as independent determinants of likelihood of successful valve repair Conclusions: A number of echo features predict valve reparability in patients with trileaflet aortic valves, intrinsic valve pathology and primary isolated AR, with eccentric regurgitant jet direction and less leaflet edge thickness being the most important.